Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,023.47 / $7,727.00	Facility		$1,017.00	$2,023.47	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,660.31 / $2,023.47 / $2,023.47	Professional		$1,660.31	$2,023.47	$2,023.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $1,927.12 / $2,563.07	Professional		$1,690.00	$1,927.12	$2,563.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.89 / $2,071.92 / $4,527.53	Professional		$1,573.89	$2,071.92	$4,527.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,788.19 / $3,560.65 / $3,922.79	Professional		$1,788.19	$3,560.65	$3,922.79
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,408.10 / $2,002.59 / $4,768.63	Professional		$1,408.10	$2,002.59	$4,768.63